One difference in the early days between the Lap Band system and the Swedish adjustable lap band is that the SAGB didn't have a self-closing mechanism and had to be closed with sutures. An American company, INAMED Health, designed the BioEnterics Lap-Band Adjustable Gastric Banding System, which was introduced in Europe in 1993. The Swedish adjustable gastric band differs from the Lap-Band because it wasn't designed for use with keyhole laparoscopic surgery.
An allergic reaction to materials contained in the band or for people who have exhibited pain intolerance to implanted devices are contraindications for lap band surgery. Failure of dietary or weight-loss drug therapy for more than one year can make one eligible for the adjustable gastric band procedure. In order to be considered one must have the comprehension of the risks and benefits of the gastric band procedure and willingness to comply with the substantial lifelong dietary restrictions required for long term success.
Inflammatory diseases of the gastrointestinal tract like ulcers, esophagitis or Crohn's disease don't make one a good candidate for lap band surgery. It's usually contraindicated if the surgery or treatment represents an unreasonable risk to the patient.
As the upper part of the stomach believes it's full the message to the brain is that the stomach is full and this sensation helps the person to eat smaller portions and lose weight over time. The surgeon uses a specialized needle is to avoid damage to the port membrane. When fluid is introduced into the stomach the lap band expands, placing pressure around the outside of the stomach; this decreases the size of the passage in the stomach and restricts the movement of food.
The band is inflated and adjusted by way of a small access port placed just under the skin subcutaneously; then radiopaque isotonic solution or saline is introduced into the band via the port. Lap band or gastric band placement, unlike the traditional malabsorptive weight loss surgery (Roux-en-Y gastric bypass surgery, biliopancreatic and duodenal switch) does not cut or remove any part of the digestive system. The adjustable gastric band or Lap Band is an inflatable silicone prosthetic device which is placed around the top portion of the stomach using keyhole laparoscopic surgery.
Post surgery the patient should consider eating less, eating more slowly and chewing food thoroughly. The patient may be prescribed a liquid-only diet, followed by soft foods and then solid foods for a varied length of time; each surgeon and manufacturer will vary. The lap band may remain deflated during pregnancy and once breast feeding or bottle-feeding is completed the band may be gradually re-inflated to help with postpartum weight loss if essential.
The World Health Organization recommendation for monthly weight loss is approximately 1.1 to 2.2 pounds per week and an average gastric banded patient may possibly lose this amount. Weight regain can happen with any surgical weight loss procedure including the more radical procedures that initially result in a rapid weight loss.
Complications of gastric band surgery include: ulceration and irritated stomach tissue. Some mechanical malfunctions that can occur post-surgery are port leakage, cracking of the kink-resistant tubing or disruption of the tubing connection from the port to the band, port site pain and port displacement.
Some of the adjustable gastric band post-surgery digestive complications are nausea, vomiting, gastroesophageal reflux, stoma obstruction, constipation, dysphagia, diarrhea, and abnormal stools. Occasionally, the narrow passage into the lower part of the stomach may become blocked by a large portion of unchewed food.
The amount you pay for your surgery will vary; there is not one set price for lap band surgery. It's important to discuss post-surgical care and diet plans with your weight loss doctor if you are considering adjustable gastric band or lap band surgery. Mexico is one of the top destinations for adjustable gastric band surgery outside of the United States, where the cost for lap band surgery is usually about $8,000 to $10,000.